Provider Demographics
NPI:1598707275
Name:BORGES, BENI DIAS NEVES (PT)
Entity Type:Individual
Prefix:MRS
First Name:BENI
Middle Name:DIAS NEVES
Last Name:BORGES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8083 TORTUGA LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-1739
Mailing Address - Country:US
Mailing Address - Phone:561-736-9104
Mailing Address - Fax:561-736-9104
Practice Address - Street 1:1620 S CONGRESS AVE
Practice Address - Street 2:STE 201
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2128
Practice Address - Country:US
Practice Address - Phone:561-439-1800
Practice Address - Fax:561-439-4874
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 15753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist